| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $582.00 | $629.00 | $2,530.00 | |
Cigna
| Facility | AS | $218.55 | $218.55 | $218.55 |
Kaiser Permanente
| Professional | $1,899.79 | $2,338.71 | $3,377.41 | |
United
| Facility | $303.00 | $413.00 | $1,109.00 |